Mitundu Bronchial mpweya ndi mawonekedwe a kupuma nthenda

Bronchial kupuma - ndi phokoso kwaiye pa nthawi ya mpweya kuti munthu osati akudwala matenda aliwonse a dongosolo m'mapapo mwanga, lamveka mu trachea, m'phuno ndi bronchi. Izi kupuma thupi. Koma kungakhale ndi pathological. Pankhaniyi, kupuma amveka kunja m'madera amenewa. Nthawi zina ndondomeko litakula bwanji apezeke ngakhale pamene kuona kunja. Mu kudwala phokoso chifukwa cha kukhalapo kwa zisindikizo kapena cavities mu mapapo, zomwe ogwirizana ndi bronchi ndi. njira ameneŵa amafuna chithandizo mwamsanga. Pa njira ya matenda kumadalira yaitali bwanji kupitiriza mankhwala ndi chomwe nthawi idzapita phokoso.

Mitundu Pathological kupuma

Ngati ndondomeko kupuma kufalikira kwa chifuwa, amene anganene kuti pathological. zodabwitsazi chifukwa matenda monga chibayo, khansa ya m'mapapo ndi kuwonongeka ena. Nthawi zambiri kudwala kumaonekera matenda a dongosolo kupuma, amene ali aakulu.

Pathological bronchial kupuma likhoza kulumikizidwa ndi bronchospasm ndi kuyan'anila ena. Aliyense matenda Pamafunika payekha anasankha mankhwala. Ntchito mankhwala bronchodilators ndi mankhwala ena.

Bronchial kupuma zingasiyane mu mwamphamvu phokoso zimadalira kukula ndi digiri ya m'dera compaction. Kupuma zosiyanasiyana buku kapena tihostyu.

A yoyamba yaikulu amapezeka chotupa mokweza kupuma. Ngati malo ali ndi kukula yaing'ono ndipo lili kozama, mu njira imeneyo zidzamveka kupuma mwakachetechete.

Bronchial kupuma kungakhale:

• amforicheskim;
• zitsulo;
• stenotic;
• wosakaniza;
• vesicular.

maganizo Amforichesky

Mtundu wa kupuma akuonetsedwa ngati m'mapapo chotupa dera makoma yosalala. Moto lili mpweya. Amalumikiza bronchus lapansi. Chotero boma ingayambe ndi abscesses m'mapapo pambuyo kutsegula, komanso M'mimbamo TB.

Kupuma mu nkhani iyi ndi chibadidwe stiffness. Ikukhala ngati mkokomo dzenje kuti simulates ndi Mpweya mwa chidebe kanthu. Phokoso likumveka onse pa inhalation ndi mpweya. Amforicheskoe mpweya angamvele ndi proviso kuti awiri a chipinda anakhudzidwa ndi pakati 5 mm ndi pamwamba. Kutalika kwa mpweya mokwanira yaitali.

zachitsulo tione

Mtundu wa kupuma ndi wapezeka pamene pneumothorax mawonekedwe lotseguka. Kumveka pamene anapereka mokweza kwambiri. Ndi chibadidwe mawu mkulu. Zofanana angamvele pamene pomenya chitsulo. Chotero kupuma bronchial auscultated pamene cavities m'mapapo mwanga ndi chachikulu ndi makoma yosalala. Linanena kuti malo a zotupa pamwamba.

maganizo stenotic

Chotero choyimira kupuma chifukwa cha tracheal constriction kapena pakhosi, amene angayambe mu kukhalapo kwa chotupa kapena mowa mayi anatola thupi lina.

Pa kuunikidwa kunja stethoscope ntchito. Nthawi zambiri kupuma chibadidwe stiffness, ndipo inu mumva iwo ndi opanda chipangizo ichi ngakhale pa mtunda wina kwa munthu wodwala. kupuma koteroko ndi kwambiri ngati tibuwula, amene amakhala ndi lakuthwa mpweya yaitali. Kuwala umadutsa pang'ono mpweya. Chodabwitsa zingaoneke kwa masiku angapo. Pankhaniyi, izo zonse zimadalira mlingo wa kukula kwa matenda ndi chitukuko.

wosanganiza

Vesicle-bronchial, kapena mtundu losakanizika kwa kupuma chibadidwe infiltrative TB kapena chibayo patchy. Anapeza ngati bronchial kupuma matenda. Nthawi zambiri, chotero chodabwitsa ndi chizindikiro cha matenda m'mapapo mwanga fibrosis. Pankhaniyi, malo a zili zozama kwambiri minofu ya m'mapapo. Iwo ili pa mtunda kwambiri Chrixitu. Inhalation zouma vesicular kupuma ndipo pa mpweya - losanganikirana.

Kutalika kwa chikhalidwe ichi akhoza zimasiyana masiku angapo masabata angapo malingana ndi nthawi ya matenda. Magawowa boma dokotala Kwalamulidwa bronchodilators kapena njira zina.

vesicular kupuma

Nthenda kumatheka vesicular kupuma angamvele ku mbali zonse, ndi dzanja limodzi kapena yofunika thorax lapansi.

Pomwe kupuma nthawi zonse zomwe zinali ndi kufupika chiyambi iliyonse. Mwachitsanzo, kumachitika mu matenda a m'mapapo, mtima, kudwala a ntchito apamwamba mantha, matenda kagayidwe kachakudya, matenda magazi, embolism m'mapapo mwanga, ndi ena.

A wapadera kupuma vesicular

Pali mawonekedwe osiyana ya kupuma vesicular, amene mankhwala otchedwa "zovuta". Nthawi zambiri iwo anamva mbali zonse za chifuwa, koma kuvala ndi zochepa. Maziko pakuwonekera kwake ndi ndondomeko pathological, analinso ndi alongo yotupa bronchial mucosa kutupa, mapindikidwe matenda aakulu amene secretions limodzi ndi mafinya.

Vesicular kupuma amapatutsidwa pa kuukira kwa mphumu. Zimatanthauza matenda aakulu yotupa. matenda amachititsa bwino ntchito bronchi ndi tilinazo awo allergens ena kuti akapsa spasms.

Pankhaniyi, lamulo la mtsinje mpweya likufa kusintha. Chifukwa chakuti lumen wa bronchi amakhala m'goli, utuluke mmene kanyamaka mpweya anapanga. Vesicular kupuma chibadidwe roughness, unevenness ndi roughness. Iwo amatchuka kutalikitsa inhalation ndi mpweya. Pakuti nthawi iwo ali ofanana.

Yesezera zodabwitsazi chingapezeke mwa kutsatira mpweya kupyolera mu milomo pursed mwamphamvu ndi kusokoneza pang'ono.

Mwakhama kupuma nthawi akusonyeza pamaso pa chifuwa yopweteka kwambiri kapena yokhalitsa. Ndi pafupifupi nthawi zonse zimathera chibayo focal, kuyambira matenda komanso amakhudza bronchi. Kumvetsera ngati kupuma pafupi nsonga ya m'mapapo amapereka chifukwa wakhala wotero matenda, monga TB kapena fibrosis m'deralo.

Vesicular kupuma njira zovuta ndi elongated ndi kutulutsa. matenda ake n'kofunika kwambiri. Kumachitika pamene Ndikudzikhuthula kwa alveoli kovuta chifukwa kuchepetsa wa Airways yaing'ono.

ndondomeko akhoza anati matenda monga bronchiolitis ndi ndiko kumayambitsa osakaniza ndi matenda.

Kupuma ndi mphumu ana ndi osiyana stiffness. ana anaona wheezing, kutsokomola m'mawa kapena usiku, komanso matenda obstructive.

Mitundu zina phokoso

Pamene thupi kutayikira njira pathological kuti akhoza kuunikira pa mbali phokoso kuwala imene amagwira kotheratu. Iwo ali gulu la phokoso kunja. Pankhaniyi, mwina kudziŵika yonyowa ndi youma wheeze, crepitus ndi pleural kukhululukirana.

pakutchulidwa wa wheezing

Wheezing kawirikawiri matenda matenda a chikhalidwe aakulu wa bronchi ndi. Pankhaniyi pali zovuta kupuma, zimene analanda khalidwe kunja phokoso. Wheezing zingasiyane dryness kapena chinyezi.

Mawonekedwe yonyowa wa akuchedwa osiyana ndi musicality. maonekedwe ake chifukwa cha madigiri zosiyanasiyana kuchepetsa wa lumen bronchial, amene chikwiyire kudzikundikira ntchofu. Pa kupuma wheezing foamed madzimadzi sing'anga kukhuthala, kenako pamwamba anapanga thovu kuti zimaphulika yomweyo. Crackles chibadidwe likukulira. Iwo kutha pambuyo kutsokomola mtima.

rales youma ali anamva inhalation ndi mpweya. Iwo nthawi zonse limodzi ndi mpweya mwamphamvu. Wheezing anati mu asthmatics.

Kupuma mphumu bronchial anatsimikiza ndi kuchuluka kupanga ntchofu, edema, ndi thickening mpanda wa bronchi ndi. Kuchepetsa wa lumen amachititsa mavuto mpweya mpweya wabwino. Iyi imalimbikitsa maonekedwe a kutsamwa, wheezing, kufupika kwa mpweya, bronchial kupuma zovuta.

crepitus

Crepitus silipita nthenda kupuma zovuta. Izi phokoso mbali, amene amayamba chifukwa munthawi yomweyo razlipaniem ambiri alveoli. phokoso Izi anamvera inhalation pachimake. Iye ndi wolimba, ngati lomweli silinasinthe pambuyo kutsokomola.

Crepitus ndi chibadidwe anthu anakhudzidwa ndi chibayo lobar. Iwo akhoza m'malo crackles pambuyo nadzaza alveoli wa ntchofu viscous. Kutalika kwa ndondomekoyi lingayambire pakukhala masiku angapo masabata angapo. Kuchotsa crepitations ayenera kuchitira matenda chimapangitsa.

Pleural mikangano

mkokomo umenewu nthawi zambiri limodzi ndi pleurisy youma ndipo ndi chizindikiro wotchuka kwambiri matenda. Pleural taonera pa zachifalansa ndi kutulutsa. Ndi yofanana ndi kukhwakhwaza kwa mapepala. mpweya Izi phwando pa mtima lonse matenda kuchiritsa. chodabwitsa kumachitika matenda a ziwalo kupuma zachilengedwe okhalitsa.

Pomaliza

Bronchial kupuma ndi chizindikiro cha njira zambiri pathological kapepala kakuti kupuma. Ndi mkokomo wake zingakhale zosiyana. Izi zidalira pa mlingo chiwonongeko cha bronchi ndi mapapo.

Childs, bronchial mpweya akudutsa pambuyo mankhwala a matenda chachikulu. kukana wake ndi chifukwa kusintha kwa matenda mu mawonekedwe aakulu. Choncho, pamene zizindikiro loyamba m'mapapo kapena bronchial zotupa ayenera yomweyo funsani katswiri. Doctor mankhwala mayeso zofunika ndi mankhwala chithandizo choyenera.